... model. The main challenges to implementation include adequate and sustainable training, support and pay for staff in new roles, the integration of new members into healthcare teams, and the compliance ... health outcomes in HIV services where tasks have been shifted to nurses and lay workers, against internationally accepted standards. A study of nurse-initiated and managed paediatric ART in Zambia ... Kukasha W, Ahoua L, Le Paih M, Munger A, Kabwinja A, Mpunga J, Chazel E, Jeannin A, Szumilin E, Kamoto K, Harries A: Nurses and medical assistants taking charge: task-shifting HIV care and HAART...